To determine patterns of usage of clomiphene citrate (CC) by primary care providers (obstetrician-gynecologists, family physicians, and other providers) within University of Utah Community Clinics.
Study Design
We performed a retrospective chart review (n = 79) and followup telephone survey of patients (n = 43) who were prescribed CC in the University of Utah Community Clinics in 2006.
Results
Most women who were prescribed CC had appropriate indications for therapy (65% with a diagnosis related to irregular menses and 33% with a diagnosis of female infertility), but there was variable and inconsistent monitoring of ovulation (much of which was apparently initiated by the patients). In the interview, 24 of the women (56%) said they would be fine having twins, and 14 (33%) said they would prefer to have twins if possible.
Conclusion
In this primary care setting, clomiphene was prescribed for appropriate indications, but the monitoring of treatment could be improved. The preference of some patients for twin gestations represents a challenge for optimum clinical care and public health.
clomiphene citrate primary care prescribing patterns community clinics, Stanford clomiphene citrate usage retrospective chart review, clomiphene citrate ovulation monitoring primary care providers, clomiphene prescribing obstetrician gynecologist family physician, clomiphene citrate twin pregnancy preference patient attitudes, fertility drug prescribing community setting ovulation monitoring, clomiphene citrate irregular menses female infertility indication, ovulation induction clomiphene monitoring inconsistency primary care, clomiphene citrate treatment optimization clinical practice, fertility treatment monitoring improvement primary care setting
Cite this article
Stanford, J. B., Martin, J. C., Gibson, M., Birdsall, E., & Brixner, D. I. (2013). Use of clomiphene citrate in the University of Utah Community Clinics. *The Journal of reproductive medicine*, *58*(5-6), 229-233.
Stanford JB, Martin JC, Gibson M, Birdsall E, Brixner DI. Use of clomiphene citrate in the University of Utah Community Clinics. J Reprod Med. 2013;58(5-6):229-233.
Stanford, J. B., et al. "Use of clomiphene citrate in the University of Utah Community Clinics." *The Journal of reproductive medicine*, vol. 58, no. 5-6, 2013, pp. 229-233.
The incidence of luteal phase defects in 366 infertility patients was 12.7%. Life-table analysis was used for determination of the conception rate with clomiphene citrate therapy, and with this method...
Correy JF et al., 1982The Australian & New Zealand Journal of Obstetrics & Gynaecology
The outcome of pregnancy was studied in all women conceiving after ovulation induction with clomiphene at the gynaecological endocrine clinics operating in 2 Tasmanian cities. In 156 pregnancies where...
Soni S et al., 2010The Journal of Reproductive Medicine
Celiac disease is an intestinal inflammatory disease that is triggered by gluten in the diet. Patients present with a wide array of symptoms due to malabsorption that include diarrhea, abdominal pain,...
Fehring RJ et al., 2009The Journal of Reproductive Medicine
Objective: To determine if an electronic hormonal fertility monitor aided method (EHFM) of family planning is more effective than a cervical mucus only method (CMM) in helping couples to avoid pregnan...